Individual
MR. JAMES GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC-A
Contact information
Practice address
2910 ROYAL FERN LN, CHARLOTTE, NC 28215-2877
(704) 890-1103
Mailing address
2910 ROYAL FERN LN, CHARLOTTE, NC 28215-2877
(704) 890-1103
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A11240
NC
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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